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  • Subject Name : Nursing

Complex Care

Table of Contents

Introduction.

Identification of safe and quality care.

Role of RN..

Recommendations.

Reflective Statement

Reference List

Introduction to Negligence and The Duty of Care

In the healthcare sector, the role of the nurses has proved to be more essential than doctors in some cases. It has been seen that nurses are the first ones to attend to the patient and they are preliminary health care providers. In this assignment, we will see how the safety and quality care of the nurses helps in the cure of a patient in relation to a specific case. The role of a registered nurse will be discussed and analyzed in-depth and finally, recommendations on how the services can be improved will be provided. Since it is based on a case study the reflective part will help in future understanding and improvement in dealing with patients.

Identification of Safe and Quality Care

The case is of Judith McNaught who was admitted to the hospital with ailments. However, in the present situation, the question it raises whether the laparoscopic cholecystectomy that performed on her was appropriately done or not. Safety assurance and quality service can be achieved in an effective way by keeping engagement to the relational care and performing vigilance. Based on the nurse-patient relationship, an RN access the preferences and medicinal needs of the patient to improve the nursing car (Jeffs et al. 2016). Furthermore, it has also been under question after the sudden demise of the patient as to whether the circumstances under which she was transferred to the recovery unit was ideal or not. Regarding this case, certain safety and quality care had to be provided (Beardsmore and McSherry 2017). For instance, since the patient was in a sensitive condition post the surgery therefore in an ideal safety care situation a registered nurse should always be present with the patient on June 2nd, 2010 that is the day the patient was shifted to the recovery unit. Following the days whether the diagnosis done by the doctors or the nurse was right and on time for the patient or not (Beardsmore and McSherry 2017). Moreover, for a patient undergoing laparoscopic cholecystectomy the use of sedative should be strong so that they do not suffer from post-operative pain.

As per records, it can be seen that Dr. Atherstone, after taking a look at the blood reports of the patient said that she has had sepsis. Now, in any safety and quality care involved ensuring that the patient does not suffer from any ailment than the one he or she has been admitted for (Zarowitz et al. 2018). Occurrence of sepsis in post-operation state indicates that the patient is deprived of the proper treatment. Sound knowledge on clinical situation of patient after performing surgeries, enables nurse to fulfil the requirements associated to the circumstance (McSherry and Pearce 2016). The top priority of safe and quality care in nursing is the safety of the patient. Nurses are responsible for ensuring safety by continuous surveillance and monitoring so that there are no mortality or morbidity issues. Effective care to the patient and providing time care are amongst the key elements in safe and quality service. But in the case of Judith, all of this is questionable as postoperative sepsis led to her deterioration and made her succumb to it (Rislin and Low 2019).

Role of RN

For an RN it is necessary to follow the duties of care and they should maintain the professional commitment and obligations to ensure the health security of the patient (Water et al 2017). In the discussed case study McNamara was allocated to take care of the patient and her duty time was for the whole night. It is the duty of Ms. McManara is to give attentive care to the patient. And it is the ethical responsibility of an RN to her duty. Communication among the staff is another influencing factor to provide enhanced services to the patients. It’s the challenging profession with lot of responsibilities and duties to be covered (Kaihlanen et al. 2018). Practical experiences that acquired practicum should be implemented in workplace to intervene the situation of the patient and take situational decisions. However, McNaught got a wheeled transfer accepting help from the RN forest. Advice from assigned consult needs to be followed by the RN and it is the duty of nurses to ensure all the directions and advice of the practitioners are being followed in the treatment. The anesthetic treatment of RN leather offered her sincere dedication and she inserted a catheter and also provided essential medicines to the patient. But for antibiotic treatment, a 100ml bag came to inject. But the situation complex made RN leather deliver the medicine for more than 20 minutes and she was not much aware of inserting IV line. For RN, the anticipation of a situation is very important as the situation complex sometimes took into a horrible result. So an RN in her professional practice should recognize her abilities to interpret the complexities based on the evidences which are already present in the context. Leadership support in mandatory for such practices in workplace (Schaefer and Welton 2018). As a responsible RN, she made her duty and a relevant decision was taken by her to inject the medicines at different times. For RN, direct care should be taken as per the practice patterns which was learned in educational evidences (Carryer, Wilkinson, Towers and Gardner 2017). Knowing the difficulties of the situation, a responsible RN made her decisions to sort out the issues.

Recommendations on Negligence and The Duty of Care

In the case of the intervention process of McNaught, a miscommunication was noted in the background study of the case analysis. The internal communication with the colleagues helps to aware of the responsible RNs about the severity of the patient's condition as well as the intervention process that needs to be applied to the patient to ensure a smooth nursing procedure. It is the duty of the nurses to ensure a safe inter-institutional transfer of the patient from one sector to another inside the medical institution (Nam et al. 2017). It is essential to check every medical report and other important documents before accepting or discharging a patient from a department. In the case of McNaught, negligence was observed. A chart prepared by a doctor for intervention by McNaught was left at the nurses' station. The regular intervention of patients is necessarily important and it was advised to observe the patient four times. But this was not followed. To understand the clinical state and physical stability of a patient, regular check-up and intervention are important. To provide ideal nursing practices, nurse should have multidimensional concept about her workplace and clinical needs, professional capabilities and personal matters should not be overlapped (Harrison et al. 2020). It enables them to make efficient decisions based on the reports of the observations. Taking concepts for multi-dimensional case studies, the evidences and findings of the case studies should be incorporated into the practice. It will be a better practice for an RN to observe the cross-case analysis to understand the practice readiness. And it also offers to realizes the dominating factors of the situation. (Harrison 2018). Another important thing to be maintained is that every intervention that needs to be reported. Every provisional diagnosis and their reports need to be drafted to record the medical condition of the patient. During duty handover, an RN remains responsible to illustrate the medical condition of the patient under his supervision, and also instructions from the respective medical officer need to be transferred (Missen et al. 2016). Transparent communication between fellow RNs is the key to ensure the patient's safety.

Reflective Statement

As a registered nurse this case study has been very insightful in understanding how important it is for a registered nurse to be at peace with the changing conditions of the patient. Time management and prompt service is the key to safe and quality service. The case study has been an immense learning process and it taught how as nurses one should also foresee the possible health complications that might arise post operations. As a nurse, I should be always attentive and provide timely service which will be positively effective.

Reference List for Negligence and The Duty of Care

Beardsmore, E. and McSherry, R., 2017. Healthcare workers’ perceptions of organisational culture and the impact on the delivery of compassionate quality care. Journal of Research in Nursing, 22(1-2), pp.42-56.

Carryer, J., Wilkinson, J., Towers, A. and Gardner, G., 2017. Delineating advanced practice nursing in New Zealand: a national survey. International Nursing Review, 65(1), pp.24-32.

Foley, M. and Christensen, M., 2016. Negligence and the duty of care: a case study discussion. Singapore Nursing Journal, 43(1)

Harrison, H., Birks, M., Franklin, R. and Mills, J., 2020. An assessment continuum: How healthcare professionals define and determine practice readiness of newly graduated registered nurses. Collegian, 27(2), pp.198-206.

Harrison, H.C., 2018. New graduate registered nurse practice readiness for Australian healthcare contexts: A collective instrumental case study (Doctoral dissertation, James Cook University).

Jeffs, L., Saragosa, M., Merkley, J. and Maione, M., 2016. Engaging patients to meet their fundamental needs: key to safe and quality care. nursing leadership (toronto, ont.), 29(1), pp.59-66.

Kaihlanen, A.M., Haavisto, E., Strandell‐Laine, C. and Salminen, L., 2018. Facilitating the transition from a nursing student to a Registered Nurse in the final clinical practicum: a scoping literature review. Scandinavian Journal of Caring Sciences, 32(2), pp.466-477. 

McSherry, R. and Pearce, P., 2016. what are the effective ways to translate clinical leadership into health care quality improvement?. Journal of Healthcare Leadership,vol- 8, p.11.

Missen, K., McKenna, L. and Beauchamp, A., 2016. Registered nurses’ perceptions of new nursing graduates’ clinical competence: A systematic integrative review. Nursing & health sciences, 18(2), pp.143-153.

Nam, A.R.N., Lee, E.H., Park, J.O., Ki, E.J., Nam, S.M. and Park, M.M., 2017. Effects of an evidence-based practice (EBP) education program on EBP practice readiness and EBP decision making in clinical nurses. Journal of Korean Academy of Nursing Administration, 23(3), pp.239-248.

Risling, T.L. and Low, C., 2019. Advocating for safe, quality and just care: what nursing leaders need to know about artificial intelligence in healthcare delivery. Nursing Leadership (Toronto, Ont.), 32(2), pp.31-45.

Schaefer, J.D. and Welton, J.M., 2018. Evidence based practice readiness: A concept analysis. Journal of nursing management, 26(6), pp.621-629.

Water, T., Rasmussen, S., Neufeld, M., Gerrard, D. and Ford, K., 2017. Nursing's duty of care: From legal obligation to moral commitment. Nursing Praxis in New Zealand, 33(3).

Zarowitz, B.J., Resnick, B. and Ouslander, J.G., 2018. Quality clinical care in nursing facilities. Journal of the American Medical Directors Association, 19(10), pp.833-839.

Remember, at the center of any academic work, lies clarity and evidence. Should you need further assistance, do look up to our Nursing Assignment Help

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